title: [Endoscopic papillosphincterotomy in patients with para-ampullar diverticulosis].
abstract: It is suggested that the numerous variants of diverticula occurring in the region of the major duodenal papilla should be grouped into four types. Type I--the major duodenal papilla (MDP) is on the floor of the diverticulum; type II--the MDP is in the region of the lower ++semi-circumference of the diverticular orifice while the longitudinal fold runs radially on the wall of the diverticulum; type III--the MDP is in the region of the orifice of the diverticulum while the longitudinal fold does not pass on its wall; type IV--two diverticula located above the MDP to both sides of the longitudinal fold. Endoscopic papillosphincterotomy is considered contraindicated in patients with type I diverticulum. When indicated, the intervention was carried out in patients with types III and IV diverticula. Endoscopic papillosphincterotomy can be conducted in patients with type II diverticulum measuring more than 2 cm.
authors.forename: V A
authors.initials: VA
authors.lastname: Mariĭko
authors.forename: G A
authors.initials: GA
authors.lastname: Starchenko
authors.forename: G V
authors.initials: GV
authors.lastname: Vinogradova
authors.forename: A Iu
authors.initials: AIu
authors.lastname: Iakunin
mesh_terms: D000328:Adult; D000368:Aged; D014670:Ampulla of Vater / Q000473:pathology / Q000601:surgery*; D002760:Cholangiopancreatography, Endoscopic Retrograde; D003137:Common Bile Duct Diseases / Q000145:classification / Q000175:diagnosis / Q000601:surgery*; D004238:Diverticulitis / Q000145:classification / Q000175:diagnosis / Q000601:surgery*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D011300:Preoperative Care
vernacular_title: Endoskopicheskaia papillosfinkterotomiia u bol'nykh s parafateral'nym divertikulom.